TY - JOUR
T1 - Adapting Current Strategies to Implement Evidence-Based Prevention Programs for Paraprofessional Home Visiting
AU - Rotheram-Fuller, Erin
AU - Swendeman, Dallas
AU - Becker, Kim
AU - Daleiden, Eric
AU - Chorpita, Bruce
AU - Youssef, Maryann Koussa
AU - Rotheram-Borus, Mary Jane
N1 - Funding Information:
This study was funded by Kellogg Foundation Grant # P3018725 and supported by grants from the National Institutes of Health MH58107, 5P30AI028697, and UL1TR000124. Clinical trial registration: NCT01687634
Publisher Copyright:
© 2017, Society for Prevention Research.
PY - 2017/7/1
Y1 - 2017/7/1
N2 - This paper describes a strategy for using evidence-based interventions (EBI) that does not require replication and fidelity. Eight parents, identified as positive role models, conducted home visits for 101 low-income Latina and Korean pregnant women. The home visitors, called mentor mothers (MM), were trained in 10 of the practice elements common to 80% of child-focused EBI and how to apply these skills to support mothers in obesity prevention, to increase the duration of breastfeeding, and to reduce depression. MM reported the content and skills utilized on each home visit on mobile phones. Each MM made an average of 153 home visits (SD = 173.3), with 28 of these visits being phone contacts. Body mass index (BMI) at 6 months was significantly associated with the frequency of MM focused on coping with depression (r = .24), but was not related to practice elements used by MM. The duration of breastfeeding was significantly related to the frequency with which MM focused on the topic of breastfeeding (r = .28) and parenting (r = .3), and MM use of attending (r = .24) and relaxation (r = .27). Depression was significantly correlated with the frequency of addressing depression (r = .27), but not to practice elements. MM did use different strategies in the first 150 visits compared to their last 150 visits, reflecting data-informed supervision. Evidence synthesized from EBI was used as a novel training method, with real-time monitoring and data-informed supervision providing evidence of iterative quality improvements in MM behaviors over time, as well as a way for linking implementation processes to outcomes.
AB - This paper describes a strategy for using evidence-based interventions (EBI) that does not require replication and fidelity. Eight parents, identified as positive role models, conducted home visits for 101 low-income Latina and Korean pregnant women. The home visitors, called mentor mothers (MM), were trained in 10 of the practice elements common to 80% of child-focused EBI and how to apply these skills to support mothers in obesity prevention, to increase the duration of breastfeeding, and to reduce depression. MM reported the content and skills utilized on each home visit on mobile phones. Each MM made an average of 153 home visits (SD = 173.3), with 28 of these visits being phone contacts. Body mass index (BMI) at 6 months was significantly associated with the frequency of MM focused on coping with depression (r = .24), but was not related to practice elements used by MM. The duration of breastfeeding was significantly related to the frequency with which MM focused on the topic of breastfeeding (r = .28) and parenting (r = .3), and MM use of attending (r = .24) and relaxation (r = .27). Depression was significantly correlated with the frequency of addressing depression (r = .27), but not to practice elements. MM did use different strategies in the first 150 visits compared to their last 150 visits, reflecting data-informed supervision. Evidence synthesized from EBI was used as a novel training method, with real-time monitoring and data-informed supervision providing evidence of iterative quality improvements in MM behaviors over time, as well as a way for linking implementation processes to outcomes.
KW - Maternal child health
KW - Paraprofessional
KW - Perinatal home visiting
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U2 - 10.1007/s11121-017-0787-z
DO - 10.1007/s11121-017-0787-z
M3 - Article
C2 - 28451922
AN - SCOPUS:85018278345
SN - 1389-4986
VL - 18
SP - 590
EP - 599
JO - Prevention Science
JF - Prevention Science
IS - 5
ER -